Active NPI
Raven Caprice Wells, PHARM D
- Pharmacist
- Yorktown, VA
National Provider Identifier
1982292793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202219348
- Practice address
- 2400 George Washington Mem Hwy
Yorktown, VA 23693-3404 - Phone
- (757) 377-3870
- NPI assigned
- Jan 7, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202219348 | VA | Primary |
Addresses
Primary practice location
2400 George Washington Mem Hwy
Yorktown, VA 23693-3404
Mailing address
342 Paine St
Newport News, VA 23608-2023
Phone (757) 377-3870
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202219348 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610064000000",
"number": "1982292793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "342 PAINE ST",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236082023",
"telephone_number": "757-377-3870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 GEORGE WASHINGTON MEM HWY",
"city": "YORKTOWN",
"state": "VA",
"postal_code": "236933404",
"telephone_number": "757-377-3870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "RAVEN",
"middle_name": "CAPRICE",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-07",
"last_updated": "2021-01-08",
"certification_date": "2021-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202219348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yorktown, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.